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Manual de Atenção à Saúde da Criança Indígena Brasileira

Manual de Atenção à Saúde da Criança Indígena Brasileira

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• a médio prazo: enriquecer alimentos, com vitamina A, <strong>de</strong> baixo custo, boa aceitação<br />

cultural, sabor a<strong>de</strong>quado após o enriquecimento e consumidos em pequenas quanti<strong>da</strong><strong>de</strong>s<br />

para evitar o risco <strong>de</strong> toxici<strong>da</strong><strong>de</strong>;<br />

• a curto prazo: distribuir, a ca<strong>da</strong> seis meses, suplementos <strong>de</strong> vitamina A na forma <strong>de</strong><br />

cápsulas gelatinosas <strong>de</strong> 200.000UI <strong>de</strong> vitamina A.<br />

Como tratar a hipovitaminose A?<br />

Em casos <strong>de</strong> <strong>de</strong>ficiência subclínica, 5.000 uni<strong>da</strong><strong>de</strong>s são suficientes. Quando há xeroftalmia,<br />

<strong>de</strong>vem ser administra<strong>da</strong>s 5.000UI/kg/dia durante cinco dias e, a partir <strong>da</strong>í, <strong>da</strong>r<br />

doses <strong>de</strong> manutenção <strong>de</strong> 25.000UI em soluções oleosas diariamente até que a criança<br />

tenha se recuperado.<br />

a) Referências bibliográficas<br />

1. Amaya, DBR. Latin American food sources of carotenoids. Arch Latinoam Nutr, 49(3<br />

suppl 1): 74-84, 1999.<br />

2. Araujo, RL; Araujo, MB; Sieiro, RO; Machado, RD; Leite, BV. Diagnosis of hypovitaminosis<br />

A and nutritional anemia status in the population of Vale do Jequitinhonha, Minas Gerais,<br />

Brazil. Arch Latinoam Nutr, 36(4): 642-53, 1986.<br />

3. Araujo, RL; Araujo, MB; Machado, RD; Braga, AA; Leite, BV; Oliveira, JR. Evaluation of<br />

a program to overcome vitamin A and iron <strong>de</strong>ficiencies in areas of poverty in Minas Gerais,<br />

Brazil. Arch Latinoam Nutr, 37(1): 9-22, 1987.<br />

4. Favaro, RM; <strong>de</strong> Souza, NV; Batistal, SM; Ferriani, MG; Desai, ID; Dutra <strong>de</strong> Oliveira, JE. Vitamin<br />

A status of young children in Southern Brazil. Am J Clin Nutr, 43(5): 852-8, 1986.<br />

5. Favaro, RM; <strong>de</strong> Oliveira, JED. Enrichment of the diet with synthetic and natural sources<br />

of provitamin A. Arch Latinoam Nutr, 49(3 Suppl 1): 34S-37S, 1999.<br />

6. Flores, H; Campos, F; Araujo, RC; Un<strong>de</strong>rwood, BA. Assessment of marginal vitamin A<br />

<strong>de</strong>ficiency in Brazilian children using the relative dose response procedure. Am J Clin Nutr,<br />

40(6): 1281-9, 1984.<br />

7. Lira, PI; Cartagena, HA; Romani, S <strong>de</strong> A; Torres, MA; Batista Filho, M. Nutritional status<br />

of children un<strong>de</strong>r 6, according to land tenure, in rural areas of the State of Pernambuco,<br />

Northeast of Brazil. Arch Latinoam Nutr, 35(2):247-57, 1985.<br />

8. Mariath, JG; Lima, MC; Santos, LM. Vitamin A Activity of buriti (Mauritia vinifera Mart)<br />

and its effectiveness in the treatment and prevention of xerophthalmia. Am J Clin Nutr,<br />

49(5): 849-53, 1989.<br />

9. Mora, JO; Dary, O. Vitamin A <strong>de</strong>ficiency and actions for its prevention and control in<br />

Latin America and the Caribbean, 1994. Bol Oficina Sanit Panam, 117(6): 519-28, 1994.<br />

<strong>Manual</strong> <strong>de</strong> <strong>Atenção</strong> <strong>à</strong> Saú<strong>de</strong> <strong>da</strong> <strong>Criança</strong> <strong>Indígena</strong> <strong>Brasileira</strong> – pág. 135

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